BWFE2018-0035• �L�G[/aw
78 Q.�i 495 CALLE TAMPICO Ct 0 D
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
DAZ
P 0 BOX 5083
LA QUINTA, CA 92253
WALL/FENCE/CITY STANDARD/PRE-APPROVED
BW FE2018-0035
81800 LA PAZ CT CT
764550042
GARDEN WALL 5 LF
$600.00
FEB 4 2018
p CITY OF LA QUINTA
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
REBECCA ALMQUIST
92253
Contractor:
DAZ
P 0 BOX 5083
LA QUINTA, CA 92253
(760)285-3793
LIc. No.: 944325
Date: 2/14/2018
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 1 hereby affirm under penalty of perjury one of the following declarations:
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and
_ I have and will maintain a certificate of consent to self -insure for workers'
my License is in full force and effect.
compensation, as provided for by Section.3700 of the Labor Code, for the performance
License Class: B Li c se No.: 944325
of the work for which this permit is issued.
and will maintain workers' compensation insurance, as required by
Date: �' Contractor:
�ve
Secti 370 of the Labor Code, for the performance of the work for which this permit is
V1 A
issu d. My workers' compensation insurance carrier and policy number are:
OWNER -BUILDER DECLARATION
Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9168769
1 hereby affirm under penalty of perjury that I am exempt from the Contractor's State
_ I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair any
compensation laws of California, and agree that, if I should become subject to the
structure, prior to its issuance, also requires the applicant for the permit to file a signed
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
statement that he or she is licensed pursuant to the provisions of the Contractor's State
comply with
oserovlsio S.
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code) or that he or she is exempt therefrom and the basis for the
Date: y
Applicant:
alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
WARNINGAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
(_) I, as owner of the property, or my employees with wages as their sole
AND SHALL. UBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
compensation, will do the work, and the structure is not intended or offered for sale.
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
apply to an owner of property who builds or improves thereon, and who does the work
INTEREST, AND ATTORNEY'S FEES.
himself or herself through his or her own employees, provided that the improvements
are not intended or offered for sale. If, however, the building or improvement is sold
APPLICANT ACKNOWLEDGEMENT
within one year of completion, the owner -builder will have the burden of proving that he
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
or she did not build or improve for the purpose of sale.).
the conditions and restrictions set forth on this application.
(� I, as owner of the property, am exclusively contracting with licensed contractors to
1. Each person upon whose behalf this application is made, each person at whose
construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State
request and for whose benefit work is performed under or pursuant to any permit issued
License Law does not apply to an owner of property who builds or improves thereon,
as a result of this application, the owner, and the applicant, each agrees to, and shall
and who contracts for the projects with a contractor(s) licensed pursuant to the
defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
Contractors' State License Law.).
employees for any act or omission related to the work being performed under•or
(_) I am exempt under Sec. B.&P.C. for this reason
following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not
commenced within 180 days from date of issuance of such permit, or cessation of work
Date: Owner:
for 180 days will subject permit to cancellation.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for
the performance of,the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and stale laws relating to building
construction, and hereby authorize representatives of this c' to enter upon the above-
mentio d pr ertor inspection purposes.
Dates/
Signature (Applicant or Age
f
Date: 2/14/2018
Application Number: BWFE2018-0035
Owner:
Property Address: 81800 LA PAZ CT CT
REBECCA ALMQUIST
APN: 764550042
Application Description: GARDEN WALL 5 LF
92253
Property Zoning:
Application Valuation: $600.00 .
Applicant:.
Contractor:
DAZ
DAZ
P 0 BOX 5083
P 0 BOX 5083
LA QUINTA, CA 92253
LA QUINTA, CA 92253
(760)285-3793
---'---------------=-----------------------------------------------------------------=-------
Llc. No.: 944325
Detail: 5 LF OF 6' GARDEN [CITY SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING
WHERE VISIBLE FROM OUTSIDE THE PROPERTY. THE AREA BETWEEN THE BACK
OF CURB AND ANY FENCING SHALL BE LANDSCAPED, HAVE A SUITABLE
PERMANENT IRRIGATION SYSTEM, AND BE CONTINUOUSLY MAINTAINED BY THE PROPERTY OWNER. 2016 CALIFORNIA BUILDING CODES.
FINANCIAL
DESCRIPTION ACCOUNT. QTY
AMOUNT
WALL/FENCE - FIRST 100 LF
101-0000-42404 0
$52.01
DESCRIPTION
ACCOUNT QTY
AMOUNT
WALL/FENCE - FIRST 100 LF PC
101-0000-42600 0
$65.02
Total Paid for BLOCK. WALL: $117.03
DESCRIPTION
ACCOUNT.
QTY
AMOUNT
BSAS SB1473 FEE
101-0000720306
0
$1.00.
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00.
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PERMIT #Ora
PLAN LOCATION:
Project Address: �(�� (�'L16
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #: T`� �'530 Q Z
1%1,a Stil 0�✓�
Patio/Porch SF
Email: 2 ✓V`�
CL.Sta�Ic
Fire Sprinklers ' SF
Applicant Name:
Address:
OX G
City, ST, Zip:
til ��K O, ZZ53
Telephone: 464,
Email:
.L e de. f'y , ca W ,
Valuation of Project $ dV C
Contractor Name: 2
New SFD Construction:
Address:.d' O S
Conditioned Space SF
City, St, Zip
Garage SF.
Telephone: �. s 3
Patio/Porch SF
Email: 2 ✓V`�
CL.Sta�Ic
Fire Sprinklers ' SF
us City BLily'c:
I . I
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Construction Type: Occupancy:
Telephone:
Bedrooms:Stories:
Email:
# Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name:
New Commercial / Tenant Improvements:
Address:
Total Building SF
City, ST, Zip .
Construction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
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OFFICE USE ONLY
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Submittal
Req'd
Rec'd
Plan Sets
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Structural Calcs
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TrussCalcs
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Title 24 Calcs
Soils Report `..
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Grading Plan (PM 10)
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Landscape Plan
Subcontractor List
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Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License
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bY 0 LA QUINT'A
BUIL DING & SAFETY DEPT.
APPROVED
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ONSTRUCTION
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